

Introduction to Nursing Practice
Pre-Test Questions

Course Introduction
Introduction to Nursing Practice provides students with foundational knowledge and skills essential to the nursing profession. This course explores the roles and responsibilities of nurses within diverse healthcare settings, emphasizing patient-centered care, ethical practice, communication, and safety. Students will learn fundamental concepts in assessment, infection control, documentation, and the nursing process, while gaining practical experience through simulations and clinical lab activities. By the end of the course, students will be prepared to apply basic nursing skills and demonstrate professionalism in patient care.
Recommended Textbook
Health Assessment for Nursing Practice 6th Edition by Wilson
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24 Chapters
634 Verified Questions
634 Flashcards
Source URL: https://quizplus.com/study-set/177
Page 2

Chapter 1: Introduction to Health Assessment
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/2458
Sample Questions
Q1) For which person is an episodic or follow-up assessment indicated?
A) The person who had abdominal surgery yesterday
B) The person who is unaware of his high serum glucose levels
C) The person who is being admitted to a long-term care facility
D) The person who is beginning rehabilitation after a knee replacement
Answer: D
Q2) Which activity illustrates the concept of primary prevention?
A) Monthly breast self-examination
B) Annual cervical (Papanicolaou test) examination
C) Education about living with asthma
D) Exercising three times a week
Answer: D
Q3) A nurse is teaching a patient how to manage chronic obstructive pulmonary disease (COPD). This intervention is an example of which level of health promotion?
A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Risk factor prevention
Answer: C
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Page 3
Chapter 2: Obtaining a Health History
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32 Verified Questions
32 Flashcards
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Sample Questions
Q1) Which data do nurses document under the heading of Personal and Psychosocial History? (Select all that apply.)
A) Walks for 45 minutes each day
B) Eats meats, vegetables, and fruit at two meals daily
C) Is allergic to milk and milk products
D) Is married and has two daughters whom he is close to
E) Smokes marijuana once a week
F) Grandfather died from prostate cancer
Answer: A, B, D, E
Q2) Which technique should the nurse use to obtain more data about a patient's vague or ambiguous statement?
A) Laughing and smiling during conversation
B) Using phrases such as "Go on," and "Then?"
C) Repeating what the patient has said, but using different words
D) Asking the patient to explain a point
Answer: D
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4

Chapter 3: Techniques and Equipment for Physical Assessment
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31 Verified Questions
31 Flashcards
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Sample Questions
Q1) The nurse is using the Snellen chart to assess a patient's vision. The patient states that the green line on the chart is shorter than the red line. What is the interpretation of this finding?
A) This patient has normal color perception and abnormal field perception.
B) This patient is color blind but has normal field perception.
C) This patient's color perception and field perception are normal.
D) This patient is color blind and has abnormal field perception.
Answer: A
Q2) What assessment data do nurses obtain through striking a hand directly against the flank or costovertebral angle of a patient's body?
A) Fluid in the lungs
B) Tenderness over the kidneys
C) Air in the abdomen
D) Tenderness over the liver
Answer: B
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Chapter 4: General Inspection and Measurement of Vital Signs
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) Which method of temperature measurement does a nurse choose when assessing school-aged children in a wellness clinic? (Select all that apply.)
A) Axillary temperature
B) Rectal temperature
C) Temporal artery temperature
D) Oral temperature
E) Tympanic membrane temperature
Q2) The nurse taking a patient's blood pressure recognizes that several factors may cause an increased blood pressure reading. Which factors below can increase blood pressure? (Select all that apply.)
A) The patient rates pain at a level of 7 on a scale of 0 to 10.
B) The cuff was reinflated before being completely deflated.
C) The patient drank cold milk just before the reading.
D) The time of day is late afternoon.
E) The cuff is too wide for the extremity.
Q3) A female patient admitted with fluid retention has been in diuretic therapy to remove fluid. She weighed 187 lb on admission. Today she weighs 179 lb. Since admission, this patient has lost _____ L from fluid loss.
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Chapter 5: Cultural Assessment
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14 Verified Questions
14 Flashcards
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Sample Questions
Q1) A patient tells the nurse that her religion prohibits her from eating food prepared outside of a special kitchen. What is the nurse's appropriate action to meet this patient's needs?
A) Call the dietary department to cancel the patient's meal tray.
B) Tell the patient that her diet must be carefully monitored and prepared at the hospital.
C) Tell the patient that because of her illness, a few changes to her religious requirements will be necessary.
D) Ask the patient to describe the requirements for the special kitchen.
Q2) Which question is the most appropriate to learn about a patient's religious practices?
A) "How often do you go to church?"
B) "Where is your church located?"
C) "Do you mind telling me about your religion?"
D) "Do you have any specific religious or spiritual practices or beliefs?"
Q3) What are the characteristics of one's culture?
A) Color of skin and hair
B) System of beliefs and practices
C) Food preferences
D) Language and religion
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Chapter 6: Pain Assessment
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) How do nurses assess pain of neonates or of adults with dementia or decreased level of consciousness? (Select all that apply.)
A) Ask family or caregivers what indicators they think may indicate the patient's pain.
B) Review results of blood tests for signs of pain.
C) Administer the ordered analgesic to the patient.
D) Identify any physiologic signs of pain.
E) Examine the patient for possible causes of pain.
Q2) The nurse notes in the patient's history that the patient has persistent, malignant pain. What is the meaning of this type of pain?
A) The pain has been present for at least 2 weeks.
B) The pain began after recent surgery and is associated with healing incisions.
C) The pain has been present for 6 or more months.
D) The pain has been present since surgery to remove cancer.
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Chapter 7: Mental Health Assessment
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17 Verified Questions
17 Flashcards
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Sample Questions
Q1) During a visit to the clinic for an annual gynecologic examination, a patient tells the nurse that she had a bad experience on an airplane, saying, "When I sat down, my heart started racing, I was short of breath and sweaty, and I felt as if I was going to die." She stated that her husband helped her to calm down after a few minutes. The nurse recognizes that the patient was describing which problem?
A) Bipolar disorder, manic phase
B) Moderate anxiety
C) Panic
D) Delusions
Q2) A 24-year-old male patient tells the nurse he has had no energy for 2 weeks. He has no trouble falling asleep; in fact, he sleeps deeply about 12 hours every night. He states that he has gained 10 lb in the past 2 months and has no friends. The nurse associates these manifestations with which mental health disorder?
A) Depression
B) Schizophrenia
C) Bipolar disorder
D) Anxiety disorder
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Chapter 8: Nutritional Assessment
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/2465
Sample Questions
Q1) A male patient weighs 205 lb and his desired body weight (DBW) is 190 lb. How should the nurse counsel this patient about his weight?
A) He has mild obesity and needs to increase exercise and assess his diet for nutrients and calories.
B) He has moderate obesity and needs to consult a health care provider about weight loss therapy.
C) He is within normal limits and need not be concerned at this time.
D) Further data are needed before an interpretation can be determined.
Q2) A patient with mild renal disease has been put on a 2200-calorie per day diet plan with the lowest recommended amount of protein. During discharge teaching, the nurse explains to this patient how to use nutrition labels to determine the amount of protein in the product. The nurse explains, however, that the label is based on 2000 calories. Which is the appropriate formula to teach this patient the least amount of protein he can eat on his prescribed diet?
A) 2200 calories × 0.15 = 330/9 calories/gram = 36.6 g
B) 2200 calories × 0.10 = 220/4 calories/gram = 55 g
C) 2200 calories × 0.20 = 440/9 calories/gram = 48.8 g
D) 2200 calories × 0.12 = 264/4 calories/gram = 66 g
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Chapter 9: Skin, Hair, and Nails
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/2466
Sample Questions
Q1) A toddler patient has a small, slightly raised bright red area on the trunk. The child's mother reports that the lesion has been present since birth and has become a little larger. What type of lesion does the nurse suspect?
A) Vascular nevi
B) Purpura
C) Ecchymosis
D) Cherry hemangioma
Q2) A nurse notes that a 2-year-old child has multiple bruises over his body at different stages of healing. What is the most appropriate action for the nurse at this time?
A) Obtain further data now to rule out abuse.
B) Remind parents that toddlers are clumsy and may fall, causing bruising.
C) Determine if this toddler has a coagulation disorder.
D) Recommend further observation at future visits.
Q3) What findings does a nurse expect when inspecting and palpating a patient's nails?
A) A nail base angle of not more than 90 degrees.
B) Whitish to clear nails in darker-skinned patients.
C) Nail surface is smooth and rounded.
D) Transverse depression running across the nails.
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11

Chapter 10: Head, Eyes, Ears, Nose, and Throat
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75 Verified Questions
75 Flashcards
Source URL: https://quizplus.com/quiz/2467
Sample Questions
Q1) When palpating the right lobe of the patient's thyroid gland using the anterior approach, the nurse feels the tissue between which two structures?
A) Sternocleidomastoid and the trapezius muscles
B) Trapezius muscle and the trachea
C) Cricoid process and the trachea
D) Sternocleidomastoid muscle and the trachea
Q2) A patient complains of nasal drainage and sinus headache. The nurse suspects a nasal infection and anticipates observing which finding during examination?
A) Foul-smelling drainage
B) Purulent green-yellow drainage
C) Bloody drainage
D) Watery drainage
Q3) A patient complains of a lesion in his nose. Which technique does a nurse use to inspect the nasal mucosa?
A) Inserts a nasal speculum horizontally into the patient's affected nares
B) Inserts a nasal speculum obliquely into the patient's affected nares
C) Uses a light source from the ophthalmoscope
D) Inserts a nasal speculum vertically into the patient's affected nares
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12

Chapter 11: Lungs and Respiratory System
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/2468
Sample Questions
Q1) During a history, a nurse notices a patient is short of breath, is using pursed-lip breathing, and maintains a tripod position. Based on these data, what abnormal finding should the nurse expect to find during the examination?
A) Increased tactile fremitus
B) Inspiratory and expiratory wheezing
C) Tracheal deviation
D) An increased anteroposterior diameter
Q2) A nurse notices a patient's chest wall moving in during inspiration and out during expiration. What additional assessment must the nurse perform immediately?
A) Palpate for tracheal deviation.
B) Auscultate for bronchovesicular breath sounds in the lung periphery.
C) Palpate posterior thoracic muscles for tenderness.
D) Auscultate for absence of breath sounds in the lung periphery.
Q3) A patient tells the nurse that he has smoked 1 \(\frac{1}{2}\) packs of cigarettes a day for 14 years. The number of packs the nurse should record in the medical record is ___ pack-years.
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Chapter 12: Heart and Peripheral Vascular System
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/2469
Sample Questions
Q1) The patient describes her chest pain as "squeezing, crushing, and 12 on a scale of 10." This pain started more than an hour ago while she was resting, and she also feels nauseous. Based on these findings, the nurse should assess for which associated symptoms?
A) Tachycardia, tachypnea, and hypertension
B) Dyspnea, diaphoresis, and palpitations
C) Hyperventilation, fatigue, anorexia, and emotional strain
D) Fever, dyspnea, orthopnea, and friction rub
Q2) Which patient's statement helps a nurse distinguish between chest pain originating from pericarditis rather than from angina?
A) "No, I have not done anything to strain chest muscles."
B) "If I take a deep breath, the pain gets much worse."
C) "This pain feels like there's an elephant sitting on my chest."
D) "Whenever this pain happens, it goes right away if I lie down."
Q3) What does the S2 heart sound represent?
A) The beginning of systole
B) The closure of the aortic and pulmonic valves
C) The closure of the tricuspid and mitral valves
D) A split heart sound on exhalation
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Page 14

Chapter 13: Abdomen and Gastrointestinal System
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38 Verified Questions
38 Flashcards
Source URL: https://quizplus.com/quiz/2470
Sample Questions
Q1) When assessing an adult's liver, the nurse percusses the lower border and finds it to be 5 cm below the costal margin. What is the nurse's appropriate action at this time?
A) Document this as an expected finding for this adult.
B) Palpate the gallbladder for tenderness.
C) Percuss downward beginning in the right midclavicular line.
D) Use the hooking technique to palpate the lower border of the liver.
Q2) A patient reports a change in the usual pattern of urination. What question does the nurse ask to determine if incontinence is the reason for these symptoms?
A) "Do you have the feeling that you cannot wait to urinate?"
B) "Are you urinating a large amount each time you go to the bathroom?"
C) "Has the color of your urine changed lately?"
D) "Have you noticed any swelling in your ankles at the end of the day?"
Q3) When inspecting a patient's abdomen, the nurse notes which finding as abnormal?
A) Protruding abdomen with skin that is lighter in color than the arms and legs
B) Marked, widely lateral pulsating mass to the left of the midline
C) Faint, fine vascular network
D) Small shadows created by changes in contour
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Chapter 14: Musculoskeletal System
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/2471
Sample Questions
Q1) When a nurse asks a patient to place the right arm behind the head, the nurse is testing for which range of motion?
A) Flexion of the elbow
B) Hyperextension of the shoulder
C) Internal rotation and adduction of the shoulder
D) External rotation and abduction of the shoulder
Q2) When assessing the neck of a healthy adult, a nurse expects which findings?
A) A convex contour of the posterior cervical spine
B) Bending of the head to the right and left (ear to shoulder) 15 degrees
C) Turning the chin to the right shoulder and then the left shoulder
D) Hyperextension of the head 30 degrees from midline
Q3) A nurse palpates the patient's jaw movement by placing two fingers in front of each ear and asking the patient to slowly open and close the mouth. What movement does the nurse ask the patient to do next?
A) Move the jaw side to side.
B) Swallow.
C) Smile.
D) Clench the teeth together.
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16

Chapter 15: Neurologic System
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34 Verified Questions
34 Flashcards
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Sample Questions
Q1) In assessing a patient's deep tendon reflexes, a nurse finds a patient has a 4+ triceps response. How does the nurse interpret this finding?
A) A hyperactive response
B) A diminished response
C) An absent response
D) An expected response
Q2) A patient has a compression fracture of the cervical spine at C7 to C8 that is impairing deep tendon reflexes. Which response will the nurse expect from the affected deep tendon reflex?
A) Diminished to absent pronation of the arm
B) Diminished to absent flexion of the elbow
C) Diminished to absent extension of the elbow
D) Diminished to absent adduction of the upper arm
Q3) The nurse assesses the glossopharyngeal nerve (CN IX) by testing which reflex?
A) Corneal reflex
B) Gag reflex
C) Blink reflex
D) Cough reflex
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17

Chapter 16: Breasts and Axillae
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) A patient had a left radical mastectomy last year. The nurse assesses for painless and nonpitting swelling of the arm on that side. Which complication of a mastectomy is the nurse assessing for?
A) Infection
B) Lymphedema
C) Inflammation
D) Lymphoma
Q2) In teaching a patient about breast self-examination, why does the nurse emphasize palpation of the axillary areas?
A) Because deep muscles in that area can mask changes
B) Because some patients avoid this area because of tenderness
C) Because most lymph draining from the breast flows through this area
D) Because supporting ligaments in this area may present as tissue changes
Q3) What technique does a nurse use when performing a breast examination on a patient who has had a mastectomy?
A) Excludes palpation of the axillary area where there was lymph node dissection
B) Inspects and palpates both the operative and the nonoperative sides
C) Avoids palpating the scar to prevent causing the patient any discomfort
D) Palpates only the muscle tissue on the affected side
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Page 18

Chapter 17: Reproductive System and the Perineum
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40 Verified Questions
40 Flashcards
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Sample Questions
Q1) Which assessment technique does a nurse use to assess the inguinal region and femoral area of a male patient as he is standing and straining?
A) Palpates the femoral artery
B) Palpates the inguinal lymph nodes
C) Observes for a bulge through the inguinal region
D) Observes for discoloration of the inguinal ring
Q2) On inspection of the external male genitalia, the nurse notes which finding as abnormal?
A) The scrotum is covered with dark rugous skin.
B) The skin covering the penis is hairless and loose.
C) The urinary meatus is located on the upper surface of the penis.
D) The left side of the scrotum hangs slightly lower than the right.
Q3) While taking a history of a patient with an enlarged prostate, the nurse expects the patient to report which symptom?
A) Painful urination with each voiding
B) Blood in the urine upon arising
C) Waking from sleep to urinate
D) Incontinence throughout the day
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Chapter 18: Developmental Assessment Throughout the Life Span
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) During middle adulthood, which immunization may be recommended?
A) PPV (pneumococcal pneumonia vaccine)
B) Hepatitis B virus vaccine, third dose
C) Human papillomavirus (HPV)
D) Td (tetanus and diphtheria toxoids)
Q2) The mother of a 7-year-old boy takes him for a checkup at the local clinic. The nurse notes that the child has gained 4.9 lb and has grown 2.5 inches in 1 year. Based on these findings, what is the most appropriate action of this nurse?
A) Recommend that the child be placed on a low-fat, high-protein diet.
B) Counsel the mother to increase the amount of calcium in the child's diet.
C) Ask the mother to return with the child next week for a more comprehensive growth and development study.
D) Inform the mother that the child's developmental rate is within the expected ranges for his age.
Q3) Which behavior illustrates a developmental task for a "young-old" older adult?
A) Adapting to living alone
B) Adjusting to loss of physical strength, illness, and emotional stress
C) Managing leisure time
D) Accepting possible institutional living arrangements
Page 20
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Chapter 19: Assessment of the Infant, Child, and Adolescent
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45 Verified Questions
45 Flashcards
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Sample Questions
Q1) The nurse places an 8-year-old boy in which position for examination of his genitalia?
A) Supine with legs extended to either side
B) Lying on his left side with knees bent
C) Reclining with knees flexed
D) Standing with legs spread apart
Q2) After assessment of each child, the nurse determines which child needs to be referred for further evaluation?
A) A 4-year-old child with a predominantly nasal breathing pattern
B) A 6-year-old child with a 1:2 anteroposterior-to-transverse-chest ratio
C) A 7-year-old child with a predominantly thoracic breathing pattern
D) A 9-year-old child with bronchovesicular breath sounds in peripheral lungs
Q3) When assessing an infant, the nurse recognizes which finding requires immediate attention?
A) Cheyne-Stokes type of respiratory pattern
B) 1:1 anteroposterior to lateral chest diameter
C) Stridor and nasal flaring
D) Bronchovesicular lung sounds in the periphery
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Chapter 20: Assessment of the Pregnant Patient
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) What does a nurse teach pregnant patients about the effects of smoking while pregnant? (Select all that apply.)
A) Fluid retention increases.
B) Prematurity risk increases.
C) Low infant birth weight risk increases.
D) Anemia develops.
E) Vitamin C deficiency develops.
F) Craving of starch, baking soda, or clay develops.
Q2) A nurse documents as abnormal which finding of a pregnant patient?
A) Facial swelling in a woman who is 20 weeks pregnant
B) 1+ pitting ankle edema in a woman who is 26 weeks pregnant
C) Pinkish-red blotches of the hands in a woman at 32 weeks gestation
D) Blotchy, brownish pigmentation of the face in a woman at 36 weeks gestation
Q3) In measuring fundal height, the nurse documents which finding as abnormal?
A) 29 cm at week 30
B) 28 cm at week 26
C) 34 cm at week 38
D) 26 cm at week 24
Q4) If a patient's last menstrual period was May 13, her estimated date of birth is
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Chapter 21: Assessment of the Older Adult
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) When assessing the pain level of an older adult, a nurse considers which factor?
A) Neural transmission of pain is increased as a part of the aging process.
B) Older adult patients are not reliable in their descriptions of pain and how it affects them.
C) Physiologic indicators of pain that are unique to older adults are tachycardia and hypotension.
D) The older adult may believe that pain is a factor of aging and not worth mentioning.
Q2) In assessing the external eyes of an older adult, a nurse documents which finding as abnormal?
A) Gray-white circle where the cornea and the sclera merge
B) Brown spots near the limbus in both eyes
C) Lack of luster of the eye and dry bulbar conjunctiva
D) Lower lid drops away from the globe
Q3) The nurse examining the breasts of an older adult woman recognizes which finding as normal?
A) Firm and rounded breasts of equal size and shape
B) Relatively large size and number of mammary ducts
C) Loose elasticity and puckering of the suspensory ligaments
D) Flattened breasts with a slightly granular texture on palpation
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Page 23

Chapter 22: Conducting a Head-to-Toe Examination
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Sample Questions
Q1) Which data does a nurse collect during the general survey when meeting a patient for the first time? (Select all that apply.)
A) Gait
B) Muscle strength
C) Heart sounds
D) Hearing and speech abilities
E) Mood or affect
F) Position of the trachea
Q2) Which assessments are routine examination techniques of the upper extremities?
A) Palpating the epitrochlear lymph nodes for size and tenderness
B) Palpating the arms for skin characteristics, symmetry, tenderness, and deformities
C) Testing the range of motion and muscle strength comparing one arm with the other
D) Testing triceps, biceps, and brachioradialis deep tendon reflexes bilaterally
Q3) When does the health assessment begin?
A) When the nurse first meets the patient
B) When the patient tells the nurse his name and age
C) When the nurse asks the patient the first health-related question
D) When the patient consents to have a health assessment performed
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24

Chapter 23: Documenting the Comprehensive Health Assessment
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Sample Questions
Q1) Which data do nurses document under the category of past health history?
A) Chronic diseases
B) Immunizations received
C) Allergies to medications or food
D) Causes of death of the patient's parents
Q2) Which documentation by a nurse is most descriptive?
A) Heart sounds normal.
B) Few ectopic beats heard during auscultation.
C) S1 murmur is heard at second right sternal border.
D) Pulse within normal limits.
Q3) A patient reports she has shortness of breath and peripheral edema. Under which category does the nurse document these data?
A) Review of systems
B) Present health status
C) Past health history
D) Functional ability
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Chapter 24: Adapting Health Assessment to the Hospitalized Patient
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9 Verified Questions
9 Flashcards
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Sample Questions
Q1) When performing a neurologic assessment of a male patient, a nurse discovers that shouting and shaking are necessary to arouse the patient enough to assess his neurologic status. After the patient answers questions about who he is and squeezes the nurse's hand as requested, he returns to "sleep." How does the nurse document this patient's level of consciousness?
A) Lethargic
B) Obtunded
C) Stuporous
D) Semicomatose
Q2) Development of which complication is considered a never event?
A) Fever
B) Atelectasis
C) Pressure ulcer
D) Thrombophlebitis
Q3) A nurse uses the Glasgow Coma Scale to assess which patient?
A) The patient who has a new onset of quadriplegia
B) The patient who has tonic-clonic seizures
C) The patient who requires stimuli for responses
D) The patient who has dementia

Page 26
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